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General NPI Number Information
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NPI Number | 1003058165
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Entity Type | Organization
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Legal Business Name | EXTREME MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 04/03/2009
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Last Update Date | 04/03/2009
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Provider Practice Location Address
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Address Line | 2484 BRIARCLIFF RD NE SUITE 22-353
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City | ATLANTA
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State | GA
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Zip | 30329-3011
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Country | US
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Telephone | 678-237-6363
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Fax |
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Provider Business Mailing Address
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Address Line | 2484 BRIARCLIFF RD NE SUITE 22-353
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City | ATLANTA
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State | GA
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Zip | 30329-3011
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Country | US
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Telephone | 678-237-6363
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DIDIER GUTIERREZ
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Credential |
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Telephone | 678-237-6363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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